Patient and Employer, moving forward, to the best possible outcome

No one either starts a business or goes to work expecting to deal with a workplace injury, especially a serious or catastrophic event. What matters is that all involved come together to make the situation whole again. During those times, the key is having an experienced case manager who can help you and your employee navigate the health care system.Your employee should be in a center of excellence with a team of physicians and professionals who are experts in their field. A partnership with the case manager, employee and employer as well as the health care team is essential in achieving the best possible outcome for both the company and the employee.

We will begin by providing an on-sight assessment of the patient, reviewing their situation pre and post injury and what will their care needs be moving forward. Once we complete the review, we will provide a comprehensive report to you and the insurance company.

With our report in hand, you can feel comfortable that the patient’s needs in totality have been reviewed, the costs confirmed in the short and long term, and both parties’ needs are met. After that we will being implementation of all their medical and resource needs. We will set up the initial medical appointments, secure the necessary durable medical equipment, interview home health attendants, begin either living modifications or provide alternate living options and coordinate additional services such as trust/estate attorneys or financial planners. We will also start a benefit administration plan to ensure that the cost of their care is spread around to different sources. Throughout it all we will be the advocate, cheerleader and support system for the patient and their family moving forward.

Where we cover for this: Southern California including San Diego, Imperial, Orange, Riverside & San Bernardino counties.

What type of Patients do you work with: Any Workers Compensation case that involves a life changing and/or catastrophic physical injury, chronic pain or mental illness.

Utilizing the MSA

The Medicare Set Aside allocation (MSA) outlines the projected costs associated with injured workers medical and prescription drug expenses typically covered by Medicare. The MSA is submitted to and approved by the Center for Medicare and Medicaid Services (CMS). The MSA provides a structured means for the settling Injured Worker and Workers Compensation Carrier to reasonably consider Medicare’s interest with the approval of CMS and avoids penalties associated with non-compliance.